Healthcare Provider Details

I. General information

NPI: 1811811029
Provider Name (Legal Business Name): SAMANTHA GULINELLO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FOGG RD
WEYMOUTH MA
02190-2432
US

IV. Provider business mailing address

1190 BEDFORD ST UNIT D3
WHITMAN MA
02382-2700
US

V. Phone/Fax

Practice location:
  • Phone: 781-927-6501
  • Fax:
Mailing address:
  • Phone: 617-823-2590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN2284021
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: